A 30 yr old female patient came to opd with chief complaints chest pain and pain at back of chest

 A 30 yr old female patient came to opd with chief complaints chest pain and pain at back of chest 


HISTORY OF PRESENT ILLNESS:


Patient was apparently asymptomatic 6 months back,then she developed chest pain which was episodic for every 15 days,pain was aggregating while breathing and doing work,and reliving during medication, pain was radiating towards the back of chest 


PAST HISTORY:


She had undergone with hysterectomy 6 years back 


N|K|C|O  Hypertension, Diabetes, epilepsy, asthma, TB


FAMILY HISTORY:


Not relevant


Drug history:


Nil


PERSONAL HISTORY:


Diet : Mixed


Appetite : normal


Sleep: inadequate due to chest pain


Addictions : Nil


Bowel/ bladder: regular bowel movements


Allergies: nil


GENERAL EXAMINATION:


Conscious coherent cooperative 


Moderately built


Moderately nourished 


No pallor  


No Icterus  


No Cyanosis 


No clubbing of finger 


No lymphadenopathy


Pedal edema with pain present while sitting for long time about 30 min,then it was relive  by walking ,it was present from past  6 years


VITALS:


Temperature - afebrile 


Pulse rate - 88 /min


Respiratory rate - 16/min


Blood pressure- 110/70 mm Hg


SYSTEMIC EXAMINATION:


A. Cardiovascular  SYSTEM ;- 


No thrills


No cardiac murmurs


Cardiac sounds: S1 & S2


B. RESPIRATORY SYSTEM;-


No dyspnea


No wheezing


Vesicular breathe sounds


C.ABDOMEN;-


No tenderness


No palpable mass

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